Health

The Early Warnings of Alzheimer’s That Most People Miss

28. Ignoring Safety Precautions Alzheimer’s disease can impair judgment and awareness, leading individuals to neglect basic safety precautions that were once routine. This may manifest as… Alina Yasinskaya - September 5, 2025

Alzheimer’s disease currently affects over 55 million people worldwide, a number projected to reach 139 million by 2050, according to the Alzheimer’s Disease International. The brain, as the primary organ impacted, undergoes gradual and often undetected changes in the early stages. Early detection remains a significant challenge because the warning signs are frequently subtle, mistaken for normal aging, or simply overlooked. Recognizing these early clues is crucial to prompt intervention and better disease management for those at risk.

1. Subtle Memory Lapses

1. Subtle Memory Lapses
An elderly woman stands in her cozy living room, searching her purse with a look of gentle forgetfulness. | Generated by Google Gemini

One of the earliest and most overlooked signs of Alzheimer’s involves minor memory lapses, such as frequently misplacing keys, forgetting recent conversations, or losing track of appointments. While occasional forgetfulness is a normal part of aging, especially when distracted or under stress, persistent or worsening memory issues may indicate early changes in the hippocampus—the region of the brain responsible for forming new memories. Research from the National Institute on Aging notes that individuals in the early stages of Alzheimer’s often struggle to recall information they recently learned, and this forgetfulness extends beyond simple absent-mindedness.

Normal age-related memory loss usually does not interfere with daily function and is often compensated for with reminders or lists. In contrast, Alzheimer’s-related memory lapses tend to become more frequent and may disrupt work, hobbies, or social activities. For example, a person might repeatedly ask the same questions or rely increasingly on memory aids. It is crucial to monitor the frequency and progression of these lapses. Documenting changes and sharing observations with a healthcare provider can help distinguish between typical aging and potential early signs of Alzheimer’s, allowing for timely evaluation and support.

2. Difficulty Finding Words

2. Difficulty Finding Words
A young woman gestures emphatically during a tense conversation, her face clearly showing frustration as she tries to make her point. | Generated by Google Gemini

Struggling to recall familiar words, known as anomia, is another early warning sign that may indicate the onset of Alzheimer’s disease. This difficulty originates from subtle changes in the brain’s language centers, such as the temporal and parietal lobes. While most people occasionally experience the “tip-of-the-tongue” phenomenon—momentarily forgetting a word only to recall it moments later—Alzheimer’s-related word-finding issues are more persistent and disruptive. According to the Alzheimer’s Association, those affected may pause frequently in conversation, substitute vague terms (“thing” or “stuff”) for specific words, or abandon sentences midway due to frustration over not recalling the correct term.

In normal aging, word-finding lapses are infrequent and typically resolve quickly. However, when anomia becomes more common, interferes with the ability to communicate, or causes noticeable frustration, it warrants attention. Persistent language difficulties, such as repeating oneself or struggling to name everyday objects, should not be ignored. These signs suggest it is time to consult a healthcare professional for further assessment. Early identification of such language changes can play a crucial role in understanding the underlying cause and initiating appropriate interventions or support.

3. Repeating Questions

3. Repeating Questions
An elderly couple sits across from each other, deep in conversation, their faces reflecting a mix of confusion and concern. | Generated by Google Gemini

Frequently repeating questions or retelling the same stories within short spans of time is a hallmark of short-term memory impairment often seen in the early stages of Alzheimer’s. This sign can be subtle; loved ones might initially dismiss it as simple forgetfulness or distraction. However, as the impairment progresses, family members may notice consistent patterns—such as someone repeatedly asking what day it is, inquiring about meal times, or sharing identical anecdotes multiple times within the same conversation. The National Institute on Aging highlights that this behavior stems from the brain’s reduced capacity to store and retrieve recent information.

Family anecdotes often reveal the emotional impact of such repetition, with relatives noting that their loved one “just asked that question a minute ago” or “told that story several times this week.” While isolated instances can occur in anyone, particularly during periods of stress or fatigue, persistent repetition over days or weeks is concerning. Tracking these occurrences in a journal or calendar can help identify patterns and frequency, providing valuable information for healthcare professionals. Recognizing this trend early is key to seeking assessment, as it distinguishes Alzheimer’s-related memory loss from more benign, everyday forgetfulness.

4. Losing Track of Time or Dates

4. Losing Track of Time or Dates
An elderly man glances between a wall calendar and a clock, his face marked by visible confusion and concern. | Generated by Google Gemini

Disorientation regarding time, such as losing track of the day, date, or even the current season, is another early sign that may indicate Alzheimer’s-related changes in the brain’s orientation systems, particularly the hippocampus and prefrontal cortex. Unlike the occasional momentary confusion that can happen to anyone—such as forgetting the date after a long weekend—persistent or frequent confusion about appointments, holidays, or deadlines is more concerning. According to the Alzheimer’s Association, individuals in early Alzheimer’s may repeatedly ask what day it is, miss scheduled events, or show uncertainty about the passage of time, even when provided with reminders.

This type of disorientation goes beyond normal forgetfulness, often disrupting daily routines and responsibilities. People experiencing these symptoms might wear inappropriate clothing for the season or become anxious when routines change. Family members might notice missed appointments, confusion over recurring events, or difficulty with time-specific tasks. It is important to observe and document the frequency and context of such confusion, as an increasing pattern over days or weeks may signal more than mere distraction. Early recognition and discussion with a healthcare provider can facilitate timely evaluation, support, and planning for the future.

5. Trouble Managing Finances

5. Trouble Managing Finances
An elderly person carefully reviews a stack of bills with a calculator, focused on managing monthly expenses. | Generated by Google Gemini

Managing finances, such as balancing a checkbook, paying bills on time, or understanding bank statements, requires attention, memory, and problem-solving skills. Early Alzheimer’s can subtly impair these cognitive abilities, leading to mistakes that were previously uncharacteristic. According to the National Institute on Aging, difficulty handling money or completing familiar financial tasks is a common early warning sign of cognitive decline. Individuals may misplace bills, forget to pay routine expenses, or find it challenging to perform mental arithmetic.

Real-world examples include bounced checks, repeated payments for the same bill, or confusion over simple transactions. A person who once managed household finances competently may suddenly become overwhelmed by budgeting or may avoid financial discussions altogether. Family members might notice unopened mail piling up or increased anxiety around financial matters. It is important to distinguish these changes from occasional errors, which can happen to anyone, especially under stress. If difficulty with routine math or bill-paying becomes frequent or leads to significant mishaps, it should be documented and discussed with a healthcare provider. Tracking these patterns over time can provide crucial information for early diagnosis and intervention.

6. Misplacing Objects in Odd Places

6. Misplacing Objects in Odd Places
A confused person stands in front of an open refrigerator, staring at a set of keys lying on the shelf. | Generated by Google Gemini

One subtle but significant early sign of Alzheimer’s is the tendency to misplace objects in unusual or illogical locations—such as putting keys in the refrigerator, a wallet in a shoe, or a remote control in the bathroom. This behavior stems from impaired spatial memory and difficulty retracing steps, which are often linked to early changes in the hippocampus and other brain regions involved in memory and organization. According to the Alzheimer’s Association, while everyone occasionally misplaces items due to distraction or multitasking, people in the early stages of Alzheimer’s may do so frequently and without any recollection of how the object ended up in its odd location.

Normal absentmindedness typically involves misplacing items in logical places—like leaving glasses on a desk or phone in another room—and people usually remember where to look after a moment of thought. In contrast, Alzheimer’s-related misplacement is more perplexing and may lead to suspicion that others are moving or stealing belongings. It is important to observe whether these incidents are isolated or becoming part of a pattern. Regularly finding items in strange places or being unable to retrace steps should prompt further evaluation, as it distinguishes typical forgetfulness from emerging cognitive impairment.

7. Confusion in Familiar Places

7. Confusion in Familiar Places
An elderly man stands at a quiet neighborhood intersection, studying street signs with a look of gentle confusion. | Generated by Google Gemini

Spatial orientation loss is a concerning early symptom of Alzheimer’s that can cause individuals to become disoriented, even in environments they have known for years. This may manifest as getting lost while driving a routine route, struggling to find one’s way in a familiar neighborhood, or wandering aimlessly in a local grocery store. According to the National Institute on Aging, such navigation difficulties occur because Alzheimer’s affects the brain’s ability to process spatial information and recall environmental cues.

While anyone can occasionally take a wrong turn or forget where they parked, people experiencing early Alzheimer’s may become confused about where they are or how they got there, even in places that should be instantly recognizable. They may also have trouble following directions or recognizing landmarks. If a person starts wandering, appears anxious or lost in a familiar setting, or frequently calls for help to find their way, these changes should not be ignored. Tracking the frequency and context of such incidents helps determine if this is part of a broader pattern. Early intervention is critical, as persistent disorientation or wandering increases the risk of harm and signals the need for medical assessment and support.

8. Poor Judgment or Decision-Making

8. Poor Judgment or Decision-Making
An elderly man sits thoughtfully at a table, weighing options with a pen and paper, reflecting on life’s risks. | Generated by Google Gemini

Alzheimer’s disease can subtly erode the brain’s ability to reason and make sound decisions, often resulting in poor judgment or risky behaviors that are out of character for the individual. Early cognitive changes may lead people to fall victim to scams, give away large sums of money, neglect personal hygiene, or dress inappropriately for the weather. According to the Alzheimer’s Association, these lapses in judgment go beyond occasional mistakes or questionable choices that everyone makes from time to time.

Examples include repeatedly donating to dubious charities, making impulsive purchases, or ignoring important safety precautions. Family members might notice that a loved one who was once cautious with money suddenly becomes overly generous with strangers, or that someone who used to be meticulously groomed begins neglecting basic self-care. These behavioral changes often come as a surprise, especially if the person was previously known for sound decision-making. If uncharacteristic or risky choices become a pattern rather than isolated incidents, it is essential to pay close attention. Documenting such changes and seeking professional advice can help determine whether these behaviors are related to Alzheimer’s or another underlying cause, allowing for early intervention and support.

9. Withdrawal from Social Activities

9. Withdrawal from Social Activities
An empty chair sits apart from a lively group gathered in conversation, quietly highlighting the feeling of social isolation. | Generated by Google Gemini

Cognitive changes associated with early Alzheimer’s can lead to a gradual withdrawal from social activities, hobbies, or gatherings that were once a source of joy. Individuals may shy away from book clubs, family events, or group outings, often feeling overwhelmed by the demands of conversation or the fear of making mistakes in front of others. The Alzheimer’s Association notes that this withdrawal is commonly rooted in growing difficulties with memory, language, or processing information, which can make social situations increasingly stressful.

This pattern is sometimes mistaken for depression, as both conditions can cause a loss of interest in favorite pastimes or a desire to be alone. However, with Alzheimer’s, withdrawal is often accompanied by confusion, anxiety about participating in conversations, or frustration over impaired abilities. Family members might notice a loved one declining invitations, abandoning hobbies such as gardening or card games, or appearing distant during group activities. If the loss of interest extends beyond brief periods and is not explained by situational factors or mood disorders, it may indicate underlying cognitive decline. Keeping track of these changes and sharing them with a healthcare provider can help differentiate between depression and the early stages of Alzheimer’s.

10. Mood or Personality Changes

10. Mood or Personality Changes
A young woman sits alone, her face shifting between worry and frustration, capturing the turmoil of mood swings and anxiety. | Generated by Google Gemini

Alzheimer’s disease can cause distinct changes in a person’s mood or personality, often manifesting as increased irritability, anxiety, depression, or even suspicion and paranoia. These changes are a result of the disease’s impact on the brain regions that regulate emotion and behavior, such as the frontal and temporal lobes. According to the National Institute on Aging, individuals with early Alzheimer’s may become easily upset, fearful of new situations, or suspicious of friends and family—sometimes accusing others of theft or deception.

While everyone experiences mood swings in response to life’s stresses, Alzheimer’s-related changes tend to be more persistent and may appear without obvious external triggers. Loved ones might notice that someone who was once cheerful and easygoing becomes withdrawn, anxious, or uncharacteristically angry. These personality shifts can be subtle at first but often intensify as the disease progresses. If changes in mood or behavior are sustained, seem disproportionate to circumstances, or represent a clear departure from someone’s usual temperament, it’s important to take note. Persistent and unexplained shifts should be discussed with a healthcare provider, as early intervention can help manage symptoms and provide needed support.

11. Trouble Following Conversations

11. Trouble Following Conversations
A group of people stands in a lively discussion, their puzzled expressions revealing a moment of shared confusion. | Generated by Google Gemini

Difficulty tracking conversations, especially in group settings or noisy environments, is a subtle but important early sign of Alzheimer’s. As the disease affects the brain’s ability to process and interpret information, individuals may struggle to keep up when multiple people are talking or when there is background noise. According to the Alzheimer’s Association, this can manifest as frequently losing the thread of conversation, asking others to repeat themselves, or responding inappropriately to questions or comments.

While everyone can become distracted or momentarily lose focus—especially if tired or stressed—persistent trouble following discussions is more concerning. People with early Alzheimer’s might avoid group interactions, become quiet during family gatherings, or seem disengaged because they cannot process information quickly enough. They may also have trouble recalling what was said moments earlier, leading to repeated questions or unrelated remarks. This is different from ordinary distraction, which is typically temporary and situational. If someone consistently struggles to participate in conversations or appears confused in social settings, it is a red flag that warrants further attention. Noting these patterns and discussing them with a healthcare professional can help determine if further assessment is needed.

12. Difficulty Planning or Organizing

12. Difficulty Planning or Organizing
A neatly organized desk features an open planner, a colorful calendar, and a well-loved recipe book stacked nearby. | Generated by Google Gemini

Early Alzheimer’s can disrupt the brain’s executive functions, making it increasingly difficult for individuals to plan, organize, or complete tasks that require multiple steps. Activities that once seemed routine—such as following a recipe, managing a calendar, or planning a vacation—may suddenly feel overwhelming or confusing. According to the National Institute on Aging, struggling to develop or follow a plan is a common early warning sign, as the disease impairs the ability to sequence actions, prioritize, and manage details.

While everyone occasionally forgets a step in a recipe or overlooks a task when busy, those with early Alzheimer’s often experience repeated difficulty or anxiety when faced with organizational tasks. They may abandon a project midway, miss key appointments despite reminders, or become frustrated by tasks that once brought satisfaction. Family members might notice increased reliance on others for simple planning or a reluctance to take on responsibilities that require organizing information. When everyday routines or multi-step activities consistently become a source of stress or confusion, it signals a deeper issue than mere distraction or occasional forgetfulness. Recognizing these changes and seeking early assessment can help ensure proper support and intervention.

13. Trouble with Familiar Tasks

13. Trouble with Familiar Tasks
A person follows step-by-step cooking instructions on a screen while holding a remote control in the kitchen. | Generated by Google Gemini

Alzheimer’s disease can hinder the ability to perform routine activities that were once second nature, such as using a TV remote, brewing coffee, or preparing a favorite meal. These difficulties arise because the disease affects brain regions involved in procedural memory and motor skills, making familiar sequences confusing or overwhelming. According to the Alzheimer’s Association, individuals may suddenly struggle to remember the steps for operating household appliances or forget ingredients and steps in recipes they’ve made countless times.

This is distinctly different from the normal learning curve associated with mastering new technology or unfamiliar tasks, where occasional mistakes are expected as part of the process. With Alzheimer’s, repeated errors or confusion occur with activities that have been practiced for years. For example, a person might put laundry in the oven instead of the washing machine or repeatedly ask how to use the microwave. These are cause for concern when such mistakes happen regularly and not just as isolated incidents. Family members and caregivers should watch for consistent problems with daily routines, as this pattern signals more than simple distraction. Early recognition and documentation of these changes are crucial for timely diagnosis and intervention.

14. Changes in Vision or Perception

14. Changes in Vision or Perception
A pair of eyeglasses rests atop an open book, symbolizing the clarity and focus needed for reading. | Generated by Google Gemini

Alzheimer’s disease can cause changes in visual processing that go beyond normal eyesight issues, affecting a person’s ability to interpret depth, contrast, and spatial relationships. These changes can make everyday activities—such as reading, judging distances, or driving—more difficult and potentially dangerous. According to the Alzheimer’s Association, people in the early stages of the disease may have trouble distinguishing colors, recognizing faces, or navigating stairs due to altered depth perception.

Unlike typical vision problems that improve with corrective lenses, Alzheimer’s-related visual changes stem from disruptions in the brain’s occipital and parietal lobes, which process and make sense of visual information. Individuals may begin to complain about words “jumping” on a page, struggle to follow lines when reading, or misjudge the edge of a curb or step while walking. These issues can also manifest as increased difficulty with driving, such as failing to recognize traffic signs or misjudging distances between cars. If someone begins to report new or unusual vision complaints—especially when their eye exams are normal—these changes could be a sign of Alzheimer’s rather than a problem with the eyes themselves. Noting and reporting these symptoms promptly is important for early intervention.

15. Losing Interest in Appearance

15. Losing Interest in Appearance
A well-dressed man stands in front of a mirror, carefully adjusting his tie and grooming his hair. | Generated by Google Gemini

A noticeable decline in self-care, such as neglecting grooming, dressing inappropriately, or ignoring personal hygiene, can be an early indicator of Alzheimer’s disease. This shift often occurs as cognitive changes make the steps involved in self-maintenance confusing or overwhelming. According to the Alzheimer’s Association, individuals may forget to bathe, wear the same clothes for days, or fail to brush their hair or teeth—behaviors that stand in contrast to their previous habits.

It is important to distinguish these changes from similar symptoms caused by depression or physical conditions like arthritis, which can also lead to reduced motivation or difficulty with grooming. In Alzheimer’s, the neglect of appearance is often out of character and can be linked to forgetting how to perform tasks or not recognizing the importance of doing so. Family members might notice that a loved one who once took pride in their appearance now seems indifferent or unaware of their hygiene. When this neglect is persistent and cannot be explained by mood disorders or physical limitations, it should be taken seriously. Early recognition and discussion with a healthcare professional can help determine the cause and provide the necessary support or intervention.

16. Unusual Eating Habits

16. Unusual Eating Habits
Friends gather around a table, sharing laughter and savoring a hearty meal filled with delicious home-cooked dishes. | Generated by Google Gemini

Alzheimer’s disease can lead to significant changes in eating behaviors, such as a diminished appetite, sudden cravings for sweets, repetitive eating, or choosing bizarre food combinations. These shifts often stem from changes in the brain regions that regulate hunger, taste, and impulse control. According to the Alzheimer’s Association, people with early Alzheimer’s may eat the same meal repeatedly, forget they have already eaten, or lose interest in foods they once enjoyed.

While everyone’s diet may fluctuate with age, mood, or health conditions, Alzheimer’s-related eating habits are typically more extreme or out of character. For instance, a person might eat only bread for every meal or develop an intense preference for sugary snacks despite never having had a sweet tooth before. These behaviors are not easily explained by common dietary shifts or temporary changes in taste. Family members should be alert to drastic or sudden changes in appetite, persistent overeating or undereating, or odd food pairings. Noting these patterns and sharing them with a healthcare provider is important, as such eating habits may signal underlying cognitive changes and require prompt evaluation or nutritional support.

17. Increased Anxiety or Paranoia

17. Increased Anxiety or Paranoia
A young woman sits alone in a dimly lit room, her hands clenched as worry and paranoia cloud her gaze. | Generated by Google Gemini

Alzheimer’s disease can cause profound changes in mood and perception, leading to heightened anxiety or emerging paranoia that was not previously part of a person’s personality. Brain changes, particularly in the frontal and temporal lobes, may trigger unfounded fears—such as believing someone is stealing from them, feeling unsafe in their own home, or suspecting loved ones of harmful intentions. According to the National Institute on Aging, these symptoms are more than typical worries and can become distressing for both the individual and those around them.

Unlike anxiety disorders, which often have roots in life experiences or psychological stressors, Alzheimer’s-related paranoia and anxiety tend to arise abruptly and may escalate without any clear cause. Individuals may become suspicious, accuse family members of hiding possessions, or refuse care due to mistrust. While mild anxiety is common in many life stages, new or intensifying paranoia—especially when accompanied by other cognitive changes—should be carefully monitored. Noting the frequency, triggers, and progression of these behaviors is crucial for healthcare providers to distinguish Alzheimer’s from primary anxiety disorders and to develop appropriate care strategies. Early recognition enables more effective support and interventions for both the patient and their caregivers.

18. Trouble Recognizing Faces

18. Trouble Recognizing Faces
A family sits together on the couch, their faces a mix of confusion as they puzzle over a board game. | Generated by Google Gemini

Prosopagnosia, or face blindness, is a condition in which individuals have difficulty recognizing familiar faces—a symptom that can emerge in the early stages of Alzheimer’s. As the disease affects the brain’s temporal and occipital lobes, the ability to process and recall facial features can deteriorate, making it challenging to identify friends, neighbors, or even close family members. According to the Alzheimer’s Association, this difficulty goes beyond momentary forgetfulness and can cause significant distress during social interactions.

In family settings, trouble recognizing loved ones can lead to confusion, awkward encounters, or emotional pain for both the individual and their relatives. While most people occasionally struggle to place a face or remember a name, Alzheimer’s-related prosopagnosia is persistent and often unresponsive to gentle reminders or context cues. Individuals may repeatedly ask who someone is or fail to acknowledge familiar people at gatherings. If this pattern becomes frequent and does not improve with reassurance or time, it may signal the onset of cognitive impairment. Documenting these occurrences and sharing them with a healthcare professional can help differentiate Alzheimer’s from normal lapses in memory, facilitating early diagnosis and support for affected families.

19. Taking Longer to Complete Tasks

19. Taking Longer to Complete Tasks
A classic wall clock ticks gently above a cluttered desk, symbolizing the slow pace of daily chores. | Generated by Google Gemini

One of the less obvious yet telling signs of early Alzheimer’s is a noticeable increase in the time required to complete everyday tasks. This slowed processing speed results from changes in the brain’s ability to organize, sequence, and execute activities efficiently. According to the National Institute on Aging, individuals may start taking significantly longer to dress, prepare meals, or follow basic routines that were once performed quickly and automatically.

Examples include spending an hour getting ready in the morning instead of the usual fifteen minutes, struggling to finish a simple household chore, or taking much longer to respond to questions and decisions. While occasional delays can happen to anyone—especially during periods of fatigue or stress—persistent and increasing slowness should raise concern. Family members might notice that their loved one is often late, seems overwhelmed by once-simple tasks, or abandons projects midway due to frustration or confusion. Tracking these changes by noting how long familiar routines take over weeks or months can provide critical insight. If the time needed for everyday activities steadily increases, it may signal underlying cognitive decline and should prompt consultation with a healthcare professional.

20. Unexplained Irritability

20. Unexplained Irritability
A young woman clenches her fists and furrows her brow, her face flushed with visible anger and frustration. | Generated by Google Gemini

Unexplained irritability is a subtle but significant early indicator of Alzheimer’s disease. As cognitive changes quietly disrupt memory, attention, and problem-solving abilities, individuals may become easily frustrated by tasks or interactions that once posed no difficulty. This frustration can manifest as irritability, snapping at loved ones, or expressing anger over minor inconveniences. The Alzheimer’s Association notes that such mood shifts are often rooted in the distress and confusion caused by declining cognitive skills.

Unlike the irritability that can arise from everyday stress, fatigue, or external pressures, Alzheimer’s-related irritability is often disproportionate to the situation or lacks an obvious cause. A person may react angrily to gentle questions, become short-tempered during simple conversations, or show impatience with routines. Family members might notice these changes as uncharacteristic, especially if their loved one was previously calm and easygoing. If episodes of irritability or anger are new, frequent, or out of proportion to daily challenges, it’s important to take note. Persistent changes in temperament should be discussed with a healthcare provider, as they may be among the early emotional signs of Alzheimer’s and warrant timely support and intervention.

21. Difficulty Adapting to Change

21. Difficulty Adapting to Change
A woman pauses at sunrise on a city bridge, embracing change as she adapts her morning routine. | Generated by Google Gemini

Difficulty adapting to new routines, environments, or unexpected changes can be an early sign of Alzheimer’s disease. As the brain’s flexibility and capacity for new learning decline, individuals may become resistant or anxious when faced with alterations to their daily schedule, unfamiliar surroundings, or even minor disruptions. The Alzheimer’s Association highlights that this inflexibility goes beyond the normal, age-related preference for predictable routines or familiar places.

While many older adults appreciate structure and may prefer established habits, those in the early stages of Alzheimer’s often react with distress or confusion to even small changes. Examples include becoming upset by a new caregiver, refusing to rearrange furniture, or showing agitation when travel plans or appointments shift. This resistance may manifest as arguments, withdrawal, or an inability to adjust, which can disrupt family life or social activities. If inflexibility becomes so pronounced that it interferes with daily functioning or relationships, it is more than a simple preference for routine. Noting how often and to what degree these reactions occur can help distinguish normal aging from early cognitive decline, prompting timely discussion with a healthcare provider for further evaluation and support.

22. Trouble Handling Technology

22. Trouble Handling Technology
A young woman stares at her smartphone with furrowed brows, clearly puzzled by a complicated technology update. | Generated by Google Gemini

Struggling with everyday technology, such as phones, remote controls, microwaves, or computers, can be an early sign of Alzheimer’s disease. Once-familiar devices may suddenly seem bewildering, with individuals forgetting how to make a call, send a text, or even turn on the television. According to the Alzheimer’s Association, this confusion arises from changes in memory, attention, and the ability to sequence steps or recognize icons—cognitive skills that are subtly impaired in the early stages of the disease.

It is normal for people of all ages to encounter a learning curve when exposed to new devices or software. However, Alzheimer’s-related difficulties are distinct in that they involve repeated trouble with technology that was previously mastered. For example, a person may ask for help with basic phone functions they used daily, forget how to operate the TV remote, or become frustrated when attempting to use familiar apps or online accounts. These errors go beyond simple forgetfulness or discomfort with innovation; they represent a persistent pattern of confusion and inability to adapt to technology once handled with ease. If these issues become frequent, it is important to document them and seek professional advice for further assessment.

23. Wandering or Restlessness

23. Wandering or Restlessness
A solitary figure wanders along a quiet, winding path, footsteps capturing the restless spirit of an endless walk. | Generated by Google Gemini

Wandering and physical restlessness are common behavioral changes seen in the early to middle stages of Alzheimer’s disease. Individuals may begin pacing, fidgeting, or leaving their home unexpectedly, often without a clear purpose or destination. According to the National Institute on Aging, up to 60% of people with Alzheimer’s will wander at some point, making this symptom a major safety concern for caregivers and families.

This restlessness can stem from disorientation, anxiety, boredom, or a search for something familiar. Unlike typical fidgeting or the occasional urge to take a walk, Alzheimer’s-related wandering is unpredictable and may result in individuals getting lost—even in places they have known for years. Loved ones might notice the person trying to leave the house at odd hours, repeatedly checking doors and windows, or expressing a desire to “go home” even when already at home. If someone begins to roam unexpectedly, it is crucial to act quickly: ensure doors are secure, consider wearable GPS devices, and notify neighbors about the risk. Persistent restlessness or wandering should be discussed with a healthcare provider, as it signals a need for additional supervision and tailored safety strategies.

24. Increased Clumsiness

24. Increased Clumsiness
A surprised woman slips on a wet floor as her coffee tumbler tumbles, spilling its contents mid-fall. | Generated by Google Gemini

Alzheimer’s disease can subtly impair motor planning and coordination, leading to a noticeable increase in clumsiness. This may manifest as frequent spills, dropping objects, bumping into furniture, or experiencing unexplained falls. According to the Alzheimer’s Association, these changes occur as the disease affects the brain regions responsible for movement and spatial awareness, making it harder to judge distances or sequence physical tasks.

While normal aging or conditions like arthritis can also lead to minor accidents or stiffness, Alzheimer’s-related clumsiness is characterized by a distinct and persistent pattern. Unlike joint pain or reduced flexibility, cognitive decline impacts the ability to plan and execute movements accurately, often catching the individual and their family off guard. Repeated incidents—such as knocking over glasses, stumbling on level ground, or struggling with tasks that require manual dexterity—should not be dismissed as mere carelessness. If new clumsiness appears suddenly or becomes increasingly frequent, it is important to monitor these episodes and discuss them with a healthcare provider. Recognizing a pattern of coordination difficulties can help differentiate Alzheimer’s from other health issues and prompt timely evaluation and support.

25. Difficulty Multitasking

25. Difficulty Multitasking
A busy parent juggles cooking dinner and answering a phone call, surrounded by scattered ingredients in a bustling kitchen. | Generated by Google Gemini

The ability to juggle multiple tasks simultaneously—such as cooking a meal while holding a conversation or managing several errands at once—often diminishes in the early stages of Alzheimer’s disease. This decline stems from disruptions in executive function, which is the brain’s capacity to organize, prioritize, and switch between tasks efficiently. According to the National Institute on Aging, people with Alzheimer’s may become easily overwhelmed or confused when faced with more than one activity at a time.

While anyone can become distracted or make mistakes during periods of busyness or fatigue, Alzheimer’s-related multitasking problems are persistent and pronounced. For example, someone might repeatedly burn food while chatting in the kitchen, leave important steps unfinished when cleaning, or become flustered by phone calls during routine chores. These difficulties are not simply a product of a hectic lifestyle; they reflect a fundamental change in cognitive processing. If multitasking consistently leads to errors, forgotten steps, or frustration—even with familiar activities—it should raise concern. Documenting these incidents and discussing them with a healthcare professional can help determine whether these challenges are a sign of early cognitive decline rather than ordinary distraction or age-related changes.

26. Forgetting Names of Common Objects

26. Forgetting Names of Common Objects
A group of everyday objects is neatly arranged on a table, each labeled to spark curiosity and challenge memory. | Generated by Google Gemini

Struggling to recall the names of everyday objects—such as calling a “watch” a “hand clock” or referring to a “pen” as a “writing stick”—is a classic early sign of Alzheimer’s disease. This phenomenon, known as anomia, arises from changes in the brain’s language centers, making it difficult to retrieve simple words that were once automatic. According to the Alzheimer’s Association, this type of word-finding problem is more than occasional forgetfulness; it can be frequent and frustrating for both the individual and those around them.

While everyone occasionally struggles to find the right word—especially when distracted or tired—persistent difficulty naming common objects is concerning. People may resort to vague descriptions (“that thing you write with”) or substitute unrelated words, leading to confusion in conversation. Family members might notice repeated pauses, circumlocutions, or visible frustration when an object’s name won’t come to mind. When these naming issues become frequent or increasingly noticeable, especially for familiar items, they may signal underlying cognitive impairment rather than normal aging. Keeping track of such language difficulties and sharing them with a healthcare provider is important for early diagnosis and effective intervention.

27. Losing the Thread of a Story

27. Losing the Thread of a Story
A young woman sits with a book in her lap, looking confused as she listens to a movie playing nearby. | Generated by Google Gemini

Alzheimer’s disease often impacts narrative memory, making it difficult for individuals to follow or recall the flow of stories in books, movies, or conversations. This disruption may first appear as an inability to keep track of plotlines, confusion about characters, or frequent requests for reminders about what just happened. According to the National Institute on Aging, these narrative difficulties go beyond ordinary lapses in attention and can be an early sign of cognitive decline.

While anyone can momentarily lose their place in a complex novel or film, people with early Alzheimer’s often struggle to piece together sequences of events, remember details from earlier in the story, or understand the overall narrative arc. They might abandon books or movies midway because they can’t follow what’s happening, or repeatedly ask others to explain the plot. Family members may notice that a loved one, who once enjoyed reading or film, now seems disengaged or confused by these activities. If someone consistently loses the thread of a story and can’t recall key elements, it’s important to note the frequency and context, as this pattern may warrant further cognitive assessment and early intervention.

28. Ignoring Safety Precautions

28. Ignoring Safety Precautions
A kitchen stove left on with a pot simmering, while an unlocked door stands ajar in the background. | Generated by Google Gemini

Alzheimer’s disease can impair judgment and awareness, leading individuals to neglect basic safety precautions that were once routine. This may manifest as forgetting to lock doors, leaving the stove or oven on, or not using seat belts when driving. According to the Alzheimer’s Association, these lapses are more than occasional forgetfulness; they often occur repeatedly and increase the risk of accidents or harm.

Everyone experiences the occasional slip, such as leaving the lights on or misplacing keys. However, when safety lapses become frequent or habitual, they signal a deeper problem. Individuals with Alzheimer’s may ignore warning signs, fail to recognize dangerous situations, or become unaware of hazards that previously prompted caution. Family members might notice burned pots, doors left unlocked overnight, or an indifference to personal safety routines. These patterns differ from typical absentmindedness by their persistence and potential consequences. If repeated safety lapses are observed, it’s crucial to address them promptly and seek medical evaluation. Vigilance for these changes allows families to implement protective measures, reduce risks, and initiate early interventions that can help prevent accidents and ensure well-being.

29. Unexplained Sadness

29. Unexplained Sadness
A solitary figure sits by a rain-streaked window, their face shadowed with the weight of deep, unspoken emotions. | Generated by Google Gemini

Unexplained sadness or depression is a common emotional change that can occur in the early stages of Alzheimer’s disease, even when there are no identifiable life events or external stressors to account for the mood shift. According to the National Institute on Aging, Alzheimer’s-related sadness often emerges as a persistent low mood, tearfulness, or general sense of hopelessness that seems disconnected from the person’s circumstances.

While mood disorders like depression can affect anyone and are frequently linked to specific events or long-standing mental health concerns, sadness associated with Alzheimer’s may appear abruptly and lack clear triggers. Individuals might withdraw from social engagement, show a lack of enthusiasm for previously enjoyed activities, or express feelings of worthlessness or despair without obvious cause. Family members may be puzzled by this emotional downturn, particularly if the person has no recent losses or significant changes in their life. If sadness becomes chronic or is accompanied by other cognitive symptoms, it is important to seek medical evaluation. Recognizing persistent, unexplained sadness as a potential early warning sign of Alzheimer’s allows for appropriate support, assessment, and, if necessary, the implementation of treatment strategies.

30. Difficulty Learning New Things

30. Difficulty Learning New Things
A young woman sits at her desk, brows furrowed in concentration as she tackles a challenging new skill. | Generated by Google Gemini

One of the hallmark early symptoms of Alzheimer’s disease is a growing difficulty in learning new skills or adapting to unfamiliar routines. This challenge stems from changes in the brain’s ability to encode and retain new information, making the mastery of new appliances, technologies, or work processes increasingly frustrating. According to the National Institute on Aging, individuals may struggle to operate a new microwave, follow updated instructions at work, or remember new phone numbers and passwords.

While anyone may require time and patience to adjust to new gadgets or processes, people with early Alzheimer’s find these tasks disproportionately difficult. They may forget steps moments after being shown, repeatedly ask for instructions, or abandon new activities entirely due to rapid frustration or confusion. Family members and colleagues might notice avoidance of unfamiliar responsibilities or frequent requests for help with new devices. Unlike the typical learning curve, which improves with repetition and practice, Alzheimer’s-related difficulties persist or worsen over time. If someone consistently struggles to learn new tasks, especially when this is a change from their previous capabilities, it could be an early sign of cognitive decline that warrants further evaluation and support.

31. Uncharacteristic Impulsivity

31. Uncharacteristic Impulsivity
A woman clutches overflowing shopping bags with a surprised smile, caught mid-laugh after an impulsive shopping spree outburst. | Generated by Google Gemini

Alzheimer’s disease can alter the brain’s frontal lobes, which are responsible for impulse control and self-regulation, resulting in uncharacteristic impulsivity. Individuals who were once cautious and measured may begin to act without thinking, making sudden purchases, blurting out inappropriate comments, or interrupting conversations more frequently. According to the National Institute on Aging, these behavioral shifts can be among the earliest changes noticed by family and friends.

It’s important to distinguish this sudden impulsiveness from longstanding personality traits. Someone who has always been spontaneous may not raise concern, but when impulsivity emerges as a new or escalating pattern, it can be alarming. Examples include giving away money impulsively, buying unnecessary items, responding with anger or laughter at inappropriate times, or disregarding social norms. These behaviors are especially worrisome if they interfere with relationships, finances, or daily functioning. If impulsive actions or outbursts are new and out of character, they should not be dismissed as mere quirks. Consistently noting these episodes and discussing them with a healthcare professional can help determine whether underlying cognitive changes, such as early Alzheimer’s, are contributing to the behavior.

32. Over- or Under-Reactivity to Stimuli

32. Over- or Under-Reactivity to Stimuli
A young child covers their ears and grimaces in a bustling classroom, overwhelmed by the sensory noise around them. | Generated by Google Gemini

Alzheimer’s disease can lead to changes in how individuals respond emotionally or physically to sensory stimuli, resulting in either overreaction or underreaction to everyday events. For example, someone might become startled and anxious in response to loud noises, busy environments, or bright lights, while others might seem unusually indifferent or slow to react to the same stimuli. According to the National Institute on Aging, these altered responses are rooted in changes to the brain’s ability to process and regulate sensory information and emotional responses.

While anxiety or stress can make anyone more sensitive to crowds or noise, Alzheimer’s-related reactivity is often out of proportion to the situation and may be unpredictable. A person might suddenly leave a room because of a ringing phone, become agitated in a crowded space, or, conversely, fail to notice when something startling happens nearby. These atypical responses can disrupt daily life, make social activities challenging, and cause distress to both the individual and their loved ones. If such reactions are new, frequent, or disproportionate—especially when paired with other cognitive changes—it’s important to monitor and share these observations with a healthcare provider for further assessment and guidance.

33. Trouble Following Instructions

33. Trouble Following Instructions
A set of pills lies beside clear assembly instructions, guiding the careful arrangement of each medication. | Generated by Google Gemini

Following multi-step instructions can become notably difficult in the early stages of Alzheimer’s disease. Tasks that require remembering and executing a sequence—such as assembling furniture, using a household appliance, or following medication regimens—may suddenly seem overwhelming. According to the National Institute on Aging, this difficulty is rooted in declining short-term memory and impaired executive function, making it challenging to keep track of instructions and complete tasks as intended.

While occasional confusion with complex directions can happen to anyone, especially when tired or distracted, persistent problems with step-by-step tasks are a cause for concern. For example, someone may skip steps when assembling an item, take medication incorrectly despite clear labeling, or abandon cooking after forgetting the next step in a recipe. Family members might notice a reluctance to attempt new projects or repeated requests for help with routine tasks. If an individual consistently struggles to follow instructions or repeatedly leaves tasks unfinished, it is important to document these patterns. Such difficulties, particularly when they interfere with daily routines, should be shared with a healthcare professional for further evaluation and potential intervention.

34. Unusual Sleep Patterns

34. Unusual Sleep Patterns
A cozy bed bathed in soft moonlight invites peaceful sleep as night gently settles over the room. | Generated by Google Gemini

Disrupted sleep patterns, such as frequent nighttime waking, difficulty falling asleep, or a reversal of normal day-night routines, are common in the early stages of Alzheimer’s disease. These disturbances are often linked to changes in the brain’s regulation of circadian rhythms, which control the sleep-wake cycle. According to the National Institute on Aging, individuals may experience increased restlessness at night, excessive daytime napping, or confusion about the time of day.

While occasional insomnia or restless nights are a normal part of aging or stress, persistent and unexplained changes in sleep habits can signal underlying cognitive decline. A person may begin waking up repeatedly during the night, staying awake for extended periods, or feeling the urge to sleep throughout the day. In some cases, they may become active at night and sleepy during the day, causing significant disruption to their routine and that of their caregivers. If unusual sleep patterns become frequent and interfere with daily functioning or safety, it’s important to take note. Reporting these changes to a healthcare provider can aid in diagnosing Alzheimer’s and help develop strategies for more restful and consistent sleep.

35. Difficulty Understanding Visual Images

35. Difficulty Understanding Visual Images
A bewildered person stands surrounded by scattered prints, trying to make sense of a jumble of overlapping pictures. | Generated by Google Gemini

Difficulty interpreting visual images, such as photographs, illustrations, or road signs, is a less recognized but important early sign of Alzheimer’s disease. Unlike typical age-related vision changes, which are usually related to the eyes’ health, Alzheimer’s affects the brain’s occipital and parietal lobes responsible for processing and making sense of what is seen. According to the Alzheimer’s Association, individuals might have trouble recognizing familiar faces in photos, misinterpret images, or fail to understand the meaning of common symbols and signs.

Normal vision changes, such as needing reading glasses or struggling in dim light, do not usually affect the ability to interpret visual information. In contrast, with Alzheimer’s, a person may look at a family photo and not recognize who is pictured or misread traffic signs, leading to confusion or risky situations. Visual misinterpretations may also include mistaking patterns on the floor for obstacles or failing to notice objects directly in front of them. If these issues are new or worsening—particularly when eye exams show no significant problems—it’s crucial to monitor and report them. Persistent trouble understanding visual images should prompt further cognitive assessment and discussion with a healthcare professional.

36. Odd or Inappropriate Behavior

36. Odd or Inappropriate Behavior
A group of coworkers exchange uncomfortable glances as one person laughs loudly at an inappropriate joke during a meeting. | Generated by Google Gemini

Alzheimer’s disease can cause profound changes in behavior, including the emergence of odd or socially inappropriate acts. Individuals may undress in public, use offensive language, or disregard established social norms without apparent awareness of their actions. These behaviors are often rooted in the disease’s impact on the brain’s frontal lobes, which regulate inhibition and social conduct. According to the National Institute on Aging, the loss of inhibition is a hallmark of many dementia-related conditions, including Alzheimer’s.

While occasional lapses in manners can occur in anyone, new or escalating inappropriate behaviors—such as public cursing, making rude remarks, or acting impulsively—should not be dismissed as harmless eccentricity if they are out of character. Such actions may cause embarrassment, distress, or safety issues for the individual and their loved ones. Family members might notice that a previously reserved person now behaves in ways that are socially unacceptable or disruptive. If these episodes are frequent and represent a marked change in personality or conduct, it is crucial to address them with sensitivity and seek professional advice. Early recognition allows families to respond with understanding and explore strategies for managing behavioral symptoms.

37. Reduced Sense of Smell

37. Reduced Sense of Smell
A young woman gently presses a bouquet of colorful flowers to her nose, enjoying their sweet fragrance. | Generated by Google Gemini

A diminished sense of smell, or olfactory dysfunction, can be an early and often overlooked indicator of Alzheimer’s disease—sometimes appearing years before noticeable cognitive symptoms. Research published in JAMA Neurology has demonstrated a clear link between reduced olfactory function and the future development of Alzheimer’s, suggesting that changes in the brain areas responsible for processing smell may precede memory loss.

While temporary loss of smell can result from allergies, sinus infections, or COVID-19, persistent olfactory decline without a clear cause should raise concern. Individuals might stop noticing the aroma of favorite foods, fail to detect spoiled food, or no longer recognize familiar household scents. Family members may notice a reduced interest in eating or cooking, which can be tied to the loss of smell and taste. If the decline in olfaction is not explained by respiratory illness, injury, or aging, it could signal early neurodegenerative changes. Monitoring and reporting these changes to a healthcare provider is important for early detection and assessment. Recognizing this subtle symptom, especially when accompanied by other cognitive or behavioral changes, can prompt timely evaluation and support.

38. Trouble Interpreting Sarcasm or Humor

38. Trouble Interpreting Sarcasm or Humor
A group of friends exchange puzzled looks and burst into confused laughter after someone delivers a perfectly sarcastic joke. | Generated by Google Gemini

Alzheimer’s disease can impair abstract thinking and social cognition, making it increasingly difficult for individuals to understand jokes, sarcasm, or irony. As the brain’s ability to process nuanced or non-literal language declines, people may take humorous statements literally or miss the intended meaning behind playful banter. According to the National Institute on Aging, this loss of interpretive ability often emerges early and can impact social interactions and relationships.

While it is normal for anyone to occasionally miss a punchline or misunderstand a joke, persistent difficulty in recognizing sarcasm or humor is more concerning. Individuals with Alzheimer’s may respond inappropriately to jokes, fail to detect irony in conversation, or seem confused by lighthearted comments. Family and friends might notice that someone who once enjoyed witty exchanges now appears puzzled or responds seriously to jokes. If this change is consistent and not explained by hearing loss, distraction, or cultural differences, it may indicate a decline in abstract reasoning. Noting the frequency and context of these misunderstandings—and sharing observations with a healthcare provider—can help distinguish normal occasional confusion from a potential early warning sign of cognitive impairment.

39. Changes in Reading or Writing

39. Changes in Reading or Writing
A cozy corner with stacks of books, an open notebook, and someone absorbed in reading and writing notes. | Generated by Google Gemini

Alzheimer’s disease can affect literacy skills, leading to noticeable difficulty with reading and writing. Individuals may struggle to comprehend newspapers, books, or even simple instructions, and may also experience problems with spelling, grammar, or organizing their thoughts coherently in writing. According to the Alzheimer’s Association, these changes can be among the earliest symptoms, often progressing gradually and impacting daily life.

While everyone occasionally has trouble finding the right word or makes a spelling error, persistent issues with reading comprehension or written communication are more significant. A person may reread the same paragraph multiple times without grasping its meaning, struggle to follow along with news articles, or produce notes and letters that are jumbled or missing key information. These difficulties can be frustrating and may lead to withdrawal from activities that involve reading or writing. Family members should pay attention to recurring spelling mistakes, incomplete sentences, or increasing confusion when handling written materials. If literacy challenges are new or worsening, they should be documented and discussed with a healthcare provider, as they may indicate underlying cognitive decline and warrant further assessment and intervention.

40. Avoiding Eye Contact

40. Avoiding Eye Contact
Two friends share meaningful eye contact across a bustling café table, silently exchanging social cues and understanding. | Generated by Google Gemini

New or increasing avoidance of eye contact can be an early behavioral sign of Alzheimer’s disease. Individuals may begin to avert their gaze during conversations, look down or away when spoken to, or seem uncomfortable making direct eye contact, especially in social situations. This behavior is often linked to anxiety, confusion, or difficulty processing social cues due to cognitive changes. According to the National Institute on Aging, such nonverbal shifts can signal underlying neurological issues and are distinct from lifelong social shyness.

While some people have always been reserved or prefer minimal eye contact due to personality or cultural reasons, Alzheimer’s-related avoidance is typically a new or escalating pattern. It may accompany other symptoms such as trouble following conversations, increased anxiety, or confusion during group interactions. Family members might notice that a loved one who was previously engaged and communicative now seems withdrawn or hesitant to connect visually. When avoidance of eye contact appears suddenly or grows more pronounced—particularly when paired with other cognitive or behavioral changes—it should be monitored and discussed with a healthcare professional. Recognizing this subtle shift can contribute to early detection and improved support strategies.

41. Difficulty Understanding Abstract Concepts

41. Difficulty Understanding Abstract Concepts
A swirling fusion of dollar bills and clock faces symbolizes the intricate relationship between time and money. | Generated by Google Gemini

Alzheimer’s disease can erode the brain’s capacity for abstract thinking, making it increasingly difficult to understand or work with concepts such as time, money, or complex planning. Tasks that require reasoning—like budgeting, interpreting a calendar, or following a multi-step process—may become confusing or overwhelming. According to the Alzheimer’s Association, difficulty with abstract thinking is a hallmark of early cognitive decline and can interfere with daily responsibilities.

While occasional confusion over a complicated bill or a packed schedule is common at any age, Alzheimer’s-related struggles are more persistent and pervasive. An individual may lose track of what day or month it is, have trouble understanding the value of money, or be unable to plan even simple events. For example, someone might be unable to grasp how to divide a restaurant bill, misunderstand the concept of interest rates, or get lost in the steps required to make a doctor’s appointment. If these problems are new or worsening and involve basic, familiar ideas that the person once managed with ease, it’s important to document and discuss them with a healthcare provider. Such changes may signal underlying cognitive decline and warrant timely evaluation.

42. Unusual Emotional Responses

42. Unusual Emotional Responses
Two friends sit side by side, one wiping away tears while the other bursts into contagious laughter. | Generated by Google Gemini

Alzheimer’s disease can disrupt the brain regions responsible for emotional regulation, leading to inappropriate or exaggerated emotional responses. Individuals may laugh at sad news, cry during happy events, or display sudden mood swings with little external provocation. According to the National Institute on Aging, these emotional changes are rooted in the neurological impact of Alzheimer’s on the brain’s frontal and temporal lobes, which can distort the recognition and expression of feelings.

While everyone occasionally experiences emotions that don’t perfectly match a situation—such as nervous laughter or unexpected tears—persistent or uncharacteristic reactions are more concerning. For example, a person may burst into tears during a light-hearted conversation or laugh uncontrollably at serious topics. These responses can be confusing or distressing for both the individual and those around them, especially when they are out of character or escalate without clear reason. Family members should take note if emotional reactions seem disproportionate or inappropriate to the context, particularly if this is a new pattern. Consistently unusual emotional responses should be discussed with a healthcare provider, as they may indicate early changes in brain function associated with Alzheimer’s and the need for further evaluation and support.

43. Difficulty Recognizing Sarcasm or Lies

43. Difficulty Recognizing Sarcasm or Lies
A person with a confused expression raises an eyebrow, clearly skeptical of the sarcastic lie just told. | Generated by Google Gemini

Alzheimer’s disease can significantly impair social perceptiveness, leading to difficulty recognizing sarcasm, irony, or deception. Individuals may take statements at face value, struggle to understand when someone is joking, or fail to detect when others are being insincere. This decline is linked to changes in the brain’s frontal and temporal lobes, which are critical for interpreting social cues and distinguishing between literal and non-literal communication. Research cited by the National Institute on Aging notes that early Alzheimer’s may cause people to become more gullible or easily misled.

While anyone can occasionally miss a joke or be fooled by a clever lie, persistent difficulty understanding sarcasm or distinguishing between playful teasing and reality is a red flag. Family members might notice that their loved one believes advertisements, falls for scams, or fails to realize when friends are joking. If this change is new and paired with other cognitive or behavioral symptoms, it may indicate early Alzheimer’s. Being easily misled or unable to “read between the lines” can put individuals at risk in social and financial situations. Monitoring these issues and sharing concerns with a healthcare provider is important for timely diagnosis and protective interventions.

44. Reluctance to Try New Things

44. Reluctance to Try New Things
A young woman hesitates at the edge of a bustling city street, suitcase in hand, contemplating her next step. | Generated by Google Gemini

Reluctance to try new things is a subtle but telling early warning sign of Alzheimer’s disease. As cognitive changes undermine confidence and heighten anxiety, individuals may begin to avoid new experiences, technologies, or social situations. According to the Alzheimer’s Association, this avoidance often stems from the fear of making mistakes, feeling confused, or not being able to keep up with unfamiliar routines or environments.

While some people are naturally cautious or prefer predictability, Alzheimer’s-related reluctance is typically a change from previous personality or lifestyle. For example, an individual who once enjoyed exploring new restaurants, learning new hobbies, or traveling may now resist invitations, decline new opportunities at work, or stick rigidly to the same daily schedule. This pattern is more concerning when the avoidance disrupts daily life, leads to social isolation, or causes distress in situations that were previously enjoyable. Family members might notice increasing excuses to avoid outings or a refusal to try even simple changes. If this behavior is new or escalating, and cannot be explained by normal preferences or situational anxieties, it should be discussed with a healthcare provider, as it may signal early cognitive decline.

45. Unusual Reactions to Noise or Crowds

45. Unusual Reactions to Noise or Crowds
A sea of people presses together in a bustling crowd, the noise rising as one person looks visibly overwhelmed. | Generated by Google Gemini

Newfound sensitivity or discomfort in noisy or crowded environments can be an early sign of Alzheimer’s disease. As the brain’s ability to filter and process sensory information deteriorates, even moderate background noise or the bustle of a busy setting may feel overwhelming, leading to anxiety, agitation, or the urge to leave. According to the National Institute on Aging, sensory overload is a common but often overlooked symptom that can cause individuals to avoid public places, family gatherings, or social events they once enjoyed.

While some people have always preferred quiet environments, a sudden or increasing aversion to noise or crowds—especially in individuals who were previously sociable—should raise concern. Examples include covering ears in restaurants, leaving parties early, or expressing distress in shopping malls or theaters. These reactions may also manifest as irritability, confusion, or even panic. If avoidance of busy environments is new, more frequent, or results in missed activities and isolation, it is important to take note. Monitoring and documenting these behavioral changes can provide valuable information for healthcare providers assessing early signs of Alzheimer’s and help guide supportive strategies for sensory management and social engagement.

46. Forgetting Important Life Events

46. Forgetting Important Life Events
A colorful family calendar hangs on the wall, with a birthday circled in bright red and festive doodles nearby. | Generated by Google Gemini

Forgetting significant life events, such as birthdays, anniversaries, or major holidays, can be a troubling early sign of Alzheimer’s disease. As memory decline progresses, even the most meaningful and long-held memories may fade, leading to missed celebrations or confusion about important milestones. According to the Alzheimer’s Association, this loss of key memories goes beyond occasional forgetfulness that everyone experiences from time to time.

It’s common for people to occasionally overlook an appointment or be late with a birthday card, especially when busy or distracted. However, frequent or consistent forgetting of major life events—particularly those that once held great personal significance—should raise concern. Individuals might not recognize wedding anniversaries, forget grandchildren’s names, or be unable to recall family vacations or milestone achievements. Family members may notice repeated reminders are needed, or that the person shows no emotional response to events that were always important to them. When this pattern of forgetting becomes noticeable or begins to impact relationships and daily routines, it should be documented and discussed with a healthcare professional. Persistent loss of important memories is a strong indicator of underlying cognitive decline and warrants timely evaluation.

47. Neglecting Responsibilities

47. Neglecting Responsibilities
A teenager sits among unwashed dishes and laundry, anxiously checking their watch after forgetting an important appointment. | Generated by Google Gemini

Neglecting everyday responsibilities, such as missing appointments, forgetting to pay bills, or failing to complete household chores, can be an early indicator of Alzheimer’s disease. This pattern is often rooted in declining executive function—the brain’s ability to organize, plan, and follow through with tasks. According to the National Institute on Aging, lapses in responsibility are common as cognitive impairment progresses, causing individuals to lose track of what needs to be done or how to do it.

While everyone occasionally overlooks a chore or misses an appointment, Alzheimer’s-related neglect is persistent and may affect multiple areas of daily life. For example, a person might repeatedly forget to take medications, let mail pile up unopened, or leave important tasks unfinished despite reminders. These changes can lead to practical problems—such as financial difficulties, health risks, or strained relationships—that go beyond simple distraction. Family members should be alert to consistent patterns of neglect, particularly when they interfere with independent living. Keeping a record of missed responsibilities and discussing them with a healthcare provider can help determine whether cognitive changes are the root cause and guide appropriate interventions and support.

48. Difficulty Naming Family Members

48. Difficulty Naming Family Members
A family gathered on the couch, laughing as one member tries to recall everyone’s names during game night. | Generated by Google Gemini

Forgetting the names of close family members—such as children, siblings, or a spouse—can be a distressing sign of progressing memory loss in Alzheimer’s disease. This symptom goes beyond the occasional lapse that many people experience, such as mixing up the names of grandchildren or pausing to recall a distant cousin. According to the Alzheimer’s Association, repeated difficulty naming loved ones is a red flag that the brain’s ability to store and retrieve personal information is deteriorating.

In typical aging, momentarily forgetting a name is usually resolved with a prompt or a few seconds of thought. However, with Alzheimer’s, the problem can become persistent and extend to immediate family, causing confusion during conversations and emotional distress for both the individual and their relatives. Someone might refer to a daughter as “that girl,” or use generic terms like “him” or “her” instead of a spouse’s name. If these naming problems occur frequently and do not improve with reminders, it is important to take them seriously. Monitoring and documenting the frequency of these incidents, then discussing them with a healthcare provider, can help determine the extent of memory loss and guide necessary support or intervention.

49. Unexplained Physical Complaints

49. Unexplained Physical Complaints
A concerned doctor listens intently as a patient describes their physical symptoms, highlighting the visible discomfort of pain. | Generated by Google Gemini

Alzheimer’s disease can sometimes present with vague or unexplained physical complaints, such as persistent aches, discomfort, or odd sensations, without a clear medical cause. These symptoms may arise because individuals have difficulty accurately perceiving, localizing, or describing what they feel—a result of changes in the brain’s processing and communication pathways. According to the National Institute on Aging, people with Alzheimer’s may frequently express that they feel “unwell” or complain of pain, but physical exams often reveal no underlying medical explanation.

While anyone can occasionally experience unexplained aches, it becomes concerning when these complaints are persistent, lack an apparent cause, and especially when they appear alongside other cognitive changes like memory loss or confusion. Individuals may have trouble articulating the nature or location of their discomfort, leading to repeated medical visits or frustration for both patient and caregivers. In some cases, these physical complaints mask emotional distress or anxiety that the person is unable to express verbally. If a pattern of vague or shifting symptoms emerges, and routine tests are inconclusive, it’s important to consider cognitive screening. Medical evaluation is essential to rule out other conditions and to ensure that cognitive decline is not overlooked as a contributing factor.

50. Increased Dependence on Others

50. Increased Dependence on Others
A gentle caregiver supports an elderly woman as they walk together, highlighting the warmth of compassionate dependence. | Generated by Google Gemini

A growing dependence on others for reminders, help with daily tasks, or supervision is a common and often gradual sign of Alzheimer’s disease. Individuals may begin to rely heavily on family members or caregivers to manage appointments, handle medications, make decisions, or navigate daily routines. According to the National Institute on Aging, this shift from autonomy to dependence often reflects a decline in memory, problem-solving, and executive function.

While it’s normal for people to occasionally seek assistance or forget a detail, an increasing and persistent need for support—especially for activities the person once managed independently—should prompt concern. Loved ones may notice that the individual frequently asks the same questions, struggles to complete household chores without guidance, or requires help with basic self-care. This loss of independence can be distressing for both the affected person and their family, leading to changes in roles and responsibilities. If dependence increases rapidly or interferes with daily functioning, it’s important to seek a professional assessment. Early intervention can provide access to resources, support, and care planning to improve quality of life and safety for everyone involved.

Conclusion

Conclusion
A healthcare professional discusses screening options with a patient, highlighting the importance of early awareness and regular consultation. | Generated by Google Gemini

Recognizing the early warning signs of Alzheimer’s disease is crucial for timely intervention, safety, and quality of life. Subtle changes—often mistaken for normal aging—can signal the beginning of cognitive decline. Acting on these early indicators allows for prompt screening, medical evaluation, and support for both individuals and families. Practical steps include documenting symptoms, discussing concerns with healthcare professionals, and considering cognitive assessments such as those recommended by the National Institute on Aging. Early recognition empowers families to plan ahead, access resources, and explore treatments or lifestyle adjustments that may slow progression and improve outcomes for those at risk.

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